Student Drugs Flashcards

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1
Q

Activated charcoal- presentation

A

50g in 250ml bottle

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2
Q

Activated charcoal- indications

A

Ingested toxins/oral drug overdose under an hour ago/ irrespective of time if toxbase allows use

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3
Q

Activated charcoal- contraindications

A

Under 1
Unable to swallow/ unconscious
Vomiting patients
Patients with reduced gastrointestinal intestinal mobility
Recent abdominal surgery
Ethanol/cyanide/corrosive poisoning

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4
Q

Activated charcoal-
Side effects

A

Black stools, intestinal obstruction

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5
Q

Activated charcoal- dosage

A

50g in 250ml, drink all
Encourage children to drink half, but they drink full amount in extreme circumstances
No repeat dose

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6
Q

Aspirin- indications

A

ECG evidence of MI/ ischaemia/ suspected TIA
Analgesia for cardiac chest pain (antiplatelet/ vasodilator)

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7
Q

Aspirin- contraindications

A

Allergy
Children under 16
GI Bleed
Haemophilia/ clotting disorders
Hepatic failure

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8
Q

Aspirin- side effects

A

Risk of GI bleed
Wheezing in asthmatics

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9
Q

Aspirin- dosage

A

300mg chewable tablet
No repeat dose

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10
Q

Nitrous oxide- indications

A

Analgesia- moderate/severe pain, labour pain

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11
Q

Nitrous oxide- contraindications

A

Head injury/ chest injury eg tension pneumothorax
Abdo pain- intestinal obstruction
Decompression sickness (diving in last 24 hours)
Disturbed psychiatric patients
Intraocular injection in last 8 weeks

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12
Q

Nitrous oxide- dosage

A

Self administer via face mask/ mouthpiece, 3-5 mins to be effective
50% oxygen 50% nitrous oxide (entonox)

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13
Q

Oxygen- indications

A

COPD
Sats below normal range (94-100%)
Hypoxia
Critical illnesses requiring high levels of supplemental oxygen eg cardiac arrest/ anaphylaxis

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14
Q

Oxygen- contraindications

A

Explosive environment

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15
Q

Oxygen- side effects

A

Mouth dryness, hypoxic drive in COPD patients

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16
Q

Oxygen- dosage

A

Measure Sp02 levels, administer oxygen until a reliable Sp02 reading is obtained
All children with significant illness/injury should have high levels of supplementary oxygen

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17
Q

Chlorphenamine- indications

A

Relieve uncomfortable symptoms of anaphylaxis/allergic reactions/ antihistamine

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18
Q

Chlorphenamine- contraindications

A

Known hypersensitivity

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19
Q

Chlorphenamine - side effects

A

Sedation, headache, blurred vision, urinary retention

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20
Q

Chlorphenamine- cautions

A

Glaucoma, pregnancy/ breastfeeding, hypotension, epilepsy, severe liver disease

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21
Q

Chlorphenamine- dosage

A

4mg tablet/ 2mg in 5ml solution IM
No repeat dose

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22
Q

Glyceryl trinitate (GTN)- indications

A

Cardiac chest pain caused by angina/MI/ischaemia
Vasodilator

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23
Q

GTN- contraindications

A

Hypotension, hypervolaemia, head trauma, cerebral hamehorrage, viagra, unconscious patients, aortic/mitral stenosis

24
Q

GTN- side effects

A

Headache, dizziness, hypotension

25
Q

GTN- dosage

A

400 micrograms per spray, repeat dose of 400 in 5-10 min intervals, can do 2 sprays, no max dose
Spray under tongue, close mouth

26
Q

Paracetamol- indications

A

Mild/ moderate pain, analgesia, high temp (apyretic)

27
Q

Paracetamol- contraindications

A

Allergy, already taken paracetamol containing products eg cocodamol/ had max dose of paracetamol

28
Q

Paracetamol- dosage

A

Each tablet is 500mg, max of 4g a day
1-2 tablets if over 50kg/ 16+ every 4/6 hours, max 8 tablets a day (4g)
Under 16/50kg= a tablet and a half (500/750mg)

29
Q

Salbutamol- indications

A

Bronchodilator
Mild/ moderate asthma, asthma attack, wheezing caused by allergy/anaphylaxis/smoke inhalation
Exacerbation of COPD

30
Q

Salbutamol- contraindications

A

None

31
Q

Salbutamol- cautions

A

COPD- nebuliser with 02 limit of 6 mins max

32
Q

Salbutamol- side effects

A

Shaking, tachycardia, palpitations, headache, rash, muscle cramps, vasodilation

33
Q

Salbutamol- dosage

A

5mg every 5 mins, nebulised with 6-8 litres per min of 02, no limit

34
Q

Ipratropium bromide- indications

A

Bronchodilator
Life threatening severe asthma, anaphylaxis, asthma attack
Used if salbutamol is unresponsive/ ineffective at relieving symptoms eg wheeze/ exacerbation of COPD

35
Q

Ipratropium bromide- contraindications

A

None

36
Q

Ipratropium bromide- cautions

A

COPD- limit of 6 mins with 02, pregnancy, glaucoma

37
Q

Ipratropium bromide- side effects

A

Nausea, dry mouth, allergy, tachycardia, tight chest

38
Q

Ipratropium bromide- dosage

A

Used with 6-8L of 02 per min
Under 11= 250 micrograms
Over 11= 500 micrograms
No repeat dose

39
Q

Glucose 40% gel- indications

A

Hypoglycaemia in conscious patients

40
Q

Glucose 40% gel- contraindications

A

None

41
Q

Glucose 40% gel- dosage

A

Plastic tube containing 25g glucose
Gel squeezed between teeth and gums, measure BM after each dose
Under 12- 10g
Over 12- 10-20g
Repeat dose of 10g every 15 mins
10g in 25g gel
No max dose
No clinical improvement= consider IM glucagon/ 10% IV glucose

42
Q

Hydrocortisone- indications

A

Glucocorticoid- restores Bp, blood sugar, cardiac synchronicity, shock
Severe/ life threatening asthma, anaphylaxis, renal failure, adrenal crisis, exacerbation of COPD, addisons disease

43
Q

Hydrocortisone- contraindications

A

Allergy

44
Q

Hydrocortisone- side effects

A

Stinging/ burning sensation

45
Q

Hydrocortisone- dosage

A

1ml solution for IM injection/ 100mg
No toxic dose
No repeat dose

46
Q

Glucagon- indications

A

Hypoglycaemia
Administered when oral glucose administration is ineffective/ not possible

47
Q

Glucagon- indications

A

Hypoglycaemia
Administered when oral glucose administration is ineffective/ not possible

48
Q

Glycogen- contraindications

A

Low glycogen stores eg starvation/ recent use of glucagon
IV glucose is preferred intervention for hypoglycaemic seizures

49
Q

Glucagon- side effects

A

Nausea/ vomiting, Abdo pain, hypokalaemia, hypotension, diarrhoea

50
Q

Glucagon- dosage

A

IM injection
1mg per vial
No repeat dose
Takes up to 15 mins to work
Check BM 10-15 mins after administration
Doesn’t work= IV glucose

51
Q

Adrenaline- indications

A

Anaphylaxis/ life threatening asthma that hasn’t improved via nebuliser therapy
Bronchodilator/ vasodilator

52
Q

Adrenaline- dosage

A

1mg in 1ml (1 in 1000)
Pre filled syringe/ ampoule
Insert in thigh
Over 12- 500 micrograms (half)
Under 12- 300 micrograms
Repeat dose of 500 micrograms every 5 mins
No max dose

53
Q

Naloxone hydrochloride- indications

A

Reversal of respiratory depression effects of opioid drugs
Reversal of opioid toxicity/ in cardiac arrest where opioid toxicity is a likely cause
Restore adequate respirations

54
Q

Naloxone hydrochloride- contraindications

A

Neonates born to opioid addicted mothers (withdrawal effects)

55
Q

Naloxone hydrochloride- side effects

A

Withdrawal symptoms for opioid addicts, vomiting

56
Q

Naloxone hydrochloride- dosage

A

IM
400 micrograms per 1ml ampoule
Repeat dose of 400 micrograms every 3 mins, max dose 4000 micrograms (10 ampoules)
Vary site of injection for repeated doses